Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $489.78 / $676.08	Professional		$398.11	$489.78	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $1,023.29	Facility		$524.81	$524.81	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,148.15 / $1,621.81	Professional		$524.81	$1,148.15	$1,621.81
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,380.38	Professional		$1,318.26	$1,318.26	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,318.26 / $1,513.56	Professional		$794.33	$1,318.26	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $524.81 / $537.03	Facility		$416.87	$524.81	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $912.01 / $1,445.44	Professional		$489.78	$912.01	$1,445.44